Evidence map›Paper›PMID 29178019›Full record

Observational studyClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2018

Efficacy of fulvestrant in the treatment of postmenopausal women with endocrine-resistant advanced breast cancer in routine clinical practice.

I Blancas, M Fontanillas, V Conde, J Lao, E Martínez, M J Sotelo, A Jaen, J L Bayo, F Carabantes, J J Illarramendi and 10 more

Erratum issuedAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 20 institutions in 1 country.

I BlancasHospital Universitario Clínico San Cecilio, Complejo Hospitalario Universitario, C/Dr. Oloriz, 16, 18012, Granada, Spain. iblancas@ugr.es.ORCID http://orcid.org/0000-0001-7467-118X
M FontanillasHospital Clinic de Barcelona, illarroel, 170, 08036, Barcelona, Spain.
V CondeHospital Universitario Virgen de las Nieves, Av. de las Fuerzas Armadas, S/N, 18014, Granada, Spain.
J LaoHospital Universitario Miguel Servet, Paseo Isabel la Católica, 1-3, 50009, Zaragoza, Spain.
E MartínezHospital Provincial de Castellón, Av. del Dr. Clarà, 19, 12002, Castelló de la Plana, Spain.
M J SoteloHospital Universitario Clínico San Carlos, C/del Profesor Martín Lagos, s/n, 28040, Madrid, Spain.
A JaenHospital de Jaén, Avda. del Ejército Español, nº 10, 23007, Jaén, Spain.
J L BayoHospital Juan Ramón Jiménez, Ronda Exterior Norte s/n, 21005, Huelva, Spain.
F CarabantesHospital Universitario Carlos Haya, Av. de Carlos Haya, s/n, 29010, Málaga, Spain.
J J IllarramendiComplejo Universitario Hospital de Navarra, Calle Irunlarrea, 3, 31008, Pamplona, Spain.
M M GordonHospital de Jerez, Ronda de Circunvalación s/n, 11407, Cádiz, Spain.
J CruzHospital Universitario de Canarias, Carretera de Ofra, s/n, 38320, Santa Cruz de Tenerife, Spain.
A García-PalomoComplejo Universitario Asistencial de León, C/Altos de Nava, s/n, León, Spain.
C MendiolaHospital Universitario, 12 de Octubre, Avenida de Córdoba, s/n, 28041, Madrid, Spain.
E Pérez-RuizHospital Costa del Sol, Autovia A-7, Km 187, 29603, Marbella, Spain.
J S BofillHospital Nuestra Señora De Valme, Av. de Bellavista, s/n, 41014, Seville, Spain.
J M Baena-CañadaHospital Universitario Puerta del Mar, Av. Ana de Viya, 21, 11009, Cádiz, Spain.
N M JáñezHospital Ramón y Cajal, Ctra. de Colmenar Viejo, km. 9,100, 28034, Madrid, Spain.
G EsquerdoClínica Benidorm, Av. Alfonso Puchades, 03501, Benidorm, Spain.
M Ruiz-BorregoHospital Universitario Virgen del Rocío, Av. Manuel Siurot, s/n, 41013, Seville, Spain.
Complejo Asistencial Universitario de Palencia · ESComplejo Hospitalario de Jaén · ESComplejo Hospitalario de Navarra · ESFundación Hospital Provincial de Castellón · ESHospital Clínica Benidorm · ESHospital Clínic de Barcelona · ESHospital Clínico San Carlos · ESHospital Costa del Sol · ESHospital Jerez Puerta del Sur · ESHospital Juan Ramón Jiménez · ESHospital Universitario 12 De Octubre · ESHospital Universitario de Canarias · ESHospital Universitario de Valme · ESHospital Universitario Miguel Servet · ESHospital Universitario Puerta del Mar · ESHospital Universitario Ramón y Cajal · ESHospital Universitario Rey Juan Carlos · ESHospital Universitario Virgen de las Nieves · ESHospital Universitario Virgen del Rocío · ESInstituto de Investigación Biosanitaria de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to describe the efficacy of fulvestrant 500 mg in postmenopausal women with estrogen receptor (ER)-positive advanced/metastatic breast cancer who had disease progression after receiving anti-estrogen therapy in clinical practice, getting real-world data. MATERIALS AND

methodsMulticenter, retrospective, observational study conducted in Spain. Postmenopausal women with locally advanced/metastatic ER-positive breast cancer who received treatment with fulvestrant 500 mg after progression with a previous anti-estrogen therapy were eligible. The primary endpoint was progression-free survival (PFS); secondary endpoints were overall survival (OS), clinical benefit rate (CBR), duration of clinical benefit (DoCB), and safety profile.

resultsA total of 263 women were evaluated (median age, 65.8 years). At a median follow-up of 21.5 months, median PFS and OS were 10.6 and 43.2 months, respectively. PFS according to 1st, 2nd, 3rd, and ≥ 4th lines were 11.5, 10.6, 9.9, and 8.5 months, respectively (p = 0.0245). PFS in patients with visceral involvement was 10 months vs 10.6 months in patients without visceral involvement (p = 0.6604), 9.6 months in patients with high Ki67 vs 10 months in patients with low Ki67 (p = 0.7224), and 10.2 months in HER2+ patients vs 10.3 months in HER2- patients (p = 0.6809). The CBR was 56.5% and the DoCB was 18.4 months. The most frequently adverse events were injection site pain (10.3%) and musculoskeletal disorders (7.6%).

conclusionsFulvestrant 500 mg administered in clinical practice was shown to be effective (PFS, 10.6 months; CBR, 56.5%) and well tolerated, in accordance with previous trials.

Indexed as

Drug Resistance, NeoplasmPostmenopauseAgedAntineoplastic Agents, HormonalBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularErb-b2 Receptor Tyrosine KinasesEstradiolFemaleFollow-Up StudiesFulvestrantHumansLymphatic MetastasisMiddle AgedPrognosisAntineoplastic Agents, HormonalErb-b2 Receptor Tyrosine KinasesEstradiolFulvestrantReceptors, EstrogenReceptors, ProgesteroneFulvestrantHormone receptor-positive advanced breast cancerMetastatic breast cancerPostmenopausal women

Identifiers

PMID29178019
OpenAlexW2769531001

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.